Exam 1: Introduction to Professional Billing and Coding Careers

Medical coding certifications include all of the following EXCEPT: A)Certified Medical Billing Specialist (CMBS). B)Certified Coding Associate (CCA). C)Certified Professional Coder (CPC). D)Certified Coding Specialist (CCS).

The duties and responsibilities of an insurance verification representative may include all of the following EXCEPT: A)precertification and/or prior authorization of services. B)researching and reference checking of medical records. C)contacting insurance carriers to clarify or confirm benefit information for patients. D)determining the patient's financial responsibility prior to services rendered.

The duties and responsibilities of a medical coder may include all of the following EXCEPT: A)greeting visitors and directing them to appropriate staff. B)researching and reference checking of medical records. C)accurately coding primary and secondary diagnoses. D)using ICD-9-CM and CPT^® coding books.

A facility that handles hospitals' claims and accounts receivable for a state or region is called a(n) _________________. A)patient account services (PAS) facility B)centralized billing office (CBO) C)hospital billing service (HBS) D)third party administrator (TPA)

To become a Certified Medical Administrative Assistant (CMAA), you must be a graduate of a healthcare training program or have 1 or more years of full-time job experience.

A Certified Coding Associate (CCA) does not need much job experience.

The certification offered by the American Medical Billing Association (AMBA) to those who pass their exam is: A)Certified Medical Billing Specialist. B)Certified Coding Specialist. C)Registered Health Information Technician D)Certified Medical Reimbursement Specialist.

The position of refund specialist requires research and analytical skills.

Describe the characteristics of a centralized billing office (CBO).

Benefits of professional memberships include all of the following EXCEPT: A)opportunities for networking with other professionals in your field. B)automatic job placement. C)publications that keep you up to date on issues and developments in your field. D)conferences and professional development opportunities.

A centralized billing office (CBO) specializes in hospital claims.

The healthcare professional who researches data in medical records to accurately document diagnoses and procedures to obtain maximum reimbursement for physicians is the: A)medical office assistant. B)medical collector. C)medical coder. D)payment poster.

After 1 year of experience, a medical office assistant can take an exam through the National Center for Competency Testing and be certified as a(n): A)Certified Coding Associate (CCA). B)National Certified Medical Office Assistant (NCMOA). C)Certified Coding Specialist (CCS). D)Certified Medical Administrative Assistant (CMAA).

Before the 1970s, how did a physician's practice grow?

The duties and responsibilities of a payment poster generally include: A)greeting visitors and directing them to appropriate staff. B)reading Explanation of Benefits documents issued by insurance carriers. C)submitting claims to insurance carriers. D)scheduling and confirming patients' appointments.

Most of a medical collector's job is performed on the telephone.

A possible job title for a medical coder position would be: A)admitting clerk. B)administrative medical assistant. C)medical receptionist. D)health information technician.

A PAS facility may include all of the following departments EXCEPT: A)medical records. B)government billing. C)insurance verification. D)appeals.

Because of __________ , physicians became responsible for filing health insurance claims.

The Certified Professional Coder (CPC) certification is awarded through the: A)American Academy of Professional Coders. B)American Health Information Management Association. C)National Center for Competency Testing. D)National Healthcareer Association.